jadelpn LPN, EMT-B

Member

All Content by jadelpn

  1. jadelpn

    Ask an LPN (Questions about what we do and how to become one of us)

    jadelpn replied to jadelpn's topic in LPN, LVN Corner

    I have been an LPN over 10 years, and have made 31.00 an hour. Currently, I have come out of acute care, and now am a supervisor in
  2. jadelpn

    How to handle a know-it-all, loud, humiliating coworker

    jadelpn replied to NursePelican's topic in Patient, Colleague Relations

    This is such a nasty situation. The only thing you can do is to say "Why thank you for bringing that to my attention! I shall take it under advisement!" And walk away. "I can see this is...
  3. jadelpn

    Conflict with no Confrontation

    jadelpn replied to LemonMonkey's topic in Patient, Colleague Relations

    "distant, unfocused, absent mentally"?!?!?!?! What the heck does THAT mean? So how was it left? Did you get a write up? What was the conclusion? If there are call bells going off, and you answer...
  4. jadelpn

    Can't teach without an order

    jadelpn replied to NancyNurse100's topic in General Nursing

    Constipation itself is not a nursing diagnosis--"Altered Bowel Elimination" is. And with the paper trail of a care plan, there need to be the intervention part of it--which runs the gamut of...
  5. jadelpn

    I am my own worst enemy

    jadelpn replied to nursingaround1's topic in General Nursing

    Here's the thing. School nursing isn't all bandaids and boo-hoos. There are significant health issues affecting children that are in schools. There are behaviorally challenged kids who need...
  6. jadelpn

    Difficult Patient - Definition

    jadelpn replied to JacobJohnson's topic in Patient, Colleague Relations

    Work the staff according to strengths. Do a little email blast "what is your favorite kind of patient" and you may be shocked at what you see. Part of your assessment could be behavior patterns that...
  7. jadelpn

    Schooling advice needed

    jadelpn replied to Jssc14's topic in General Nursing

    If you couldn't do a direct entry masters, and you will know the first of the year, then a second bachelors as BSN? You could research accelerated programs for people who currently have a bachelor's...
  8. jadelpn

    Frustrating case at clinical

    jadelpn replied to Jrhemming's topic in General Nursing

    The fever can suggest some sort of process--and with it, a higher blood glucose. There are some medications (I can think of prednisone, for instance) that can also cause a spike in blood glucose. The...
  9. jadelpn

    Ethics: Does knowledge of a patient's blood borne pathogen change your care?

    jadelpn replied to JMed18's topic in General Nursing

    I can not like this enough. HIV/Hep C are lower on the scale of things that one "catches" than C-diff, MRSA, heck for some even an active flu!! There are policies and protocols. If you are cleaning...
  10. jadelpn

    Lose your license for administering a PRN med without a pain scale?

    jadelpn replied to Cola89's topic in General Nursing

    Sigh. Wish you were kidding about this. Again, sounds to me like reimbursement issues that someone was dinged on, so they are making stuff up.... Is your supervisor a nurse? A nurse who has practiced...
  11. jadelpn

    Lose your license for administering a PRN med without a pain scale?

    jadelpn replied to Cola89's topic in General Nursing

    I am not sure about your license, but perhaps your job? Because of the reimbusements on catheters, and hospital acquired infections regarding their use, there are policies that require a reason for...
  12. jadelpn

    Positive tb and new employment

    jadelpn replied to Toaster's topic in General Nursing

    Have you been exposed to TB? I would speak to your MD about the risks. Usually, the facility has some policies on positive TB via a chest x-ray. Best
  13. jadelpn

    missing clonazepam set up please help asap

    jadelpn replied to Nurses-give's topic in General Nursing

    OP, you have been given excellent advice in contacting your malpractice carrier, your attorney, and I would add your union if you are a member of one. If your ADON has acted in an unethical way, then...
  14. jadelpn

    Need Help

    jadelpn replied to Errcuh's topic in General Nursing

    I would look on your internal website and see what jobs are available. Usually, it is a 6 month period of time before you can transfer. You can certainly see what would be of interest to you. With...
  15. jadelpn

    Can a patient sign discharge instructions after sedation?

    jadelpn replied to NURSECDON's topic in General Nursing

    If someone is set up for surgery, they are usually taught about general discharge instructions at that time, along with getting medical history and the like. Additionally, follow up calls the next...
  16. jadelpn

    Is this a "Performance Improvement Plan" or are they just trying to fire me??

    jadelpn replied to AvaRN22's topic in Nursing Career

    This is craziness. Do you have a union? Do you have your own malpractice insurance ( I would also seek the assistance of your nurse educator. See if there is a "class" you can take on effective...
  17. jadelpn

    Work-conflict help!

    jadelpn replied to ucmarvelous's topic in Health, Stress Management

    Go to your Director of Nursing. Ask for very specific guidelines from your DON on what it is you are to be doing. And how to prioritize if you are seemingly doing everything. Is this charge nurse...
  18. jadelpn

    I want to throat-punch my co-worker

    jadelpn replied to Annie Wilkes RN's topic in Patient, Colleague Relations

    You are acting in a passive-aggressive manner. There could be a million reasons why this nurse was not hearing what you were saying. Negative energy radiating is the least of your concerns. Instead...
  19. jadelpn

    I want to throat-punch my co-worker

    jadelpn replied to Annie Wilkes RN's topic in Patient, Colleague Relations

    Ok, let's take a moment and really think about this. "Snapping" is not a valid option. Period. You don't need to respect any of your co-workers as people, you just need to work with them. As a...
  20. jadelpn

    new grad: cant find a job

    jadelpn replied to 2016New's topic in Job Search, Interview, Resume

    I think that your parents are just at a point where they are pointing out that you are unable to move until you are established and have the money to do so. Try home health, flu clinics, urgent care....
  21. jadelpn

    new grad: cant find a job

    jadelpn replied to 2016New's topic in Job Search, Interview, Resume

    I think that your parents are just at a point where they are pointing out that you are unable to move until you are established and have the money to do so. Try home health, flu clinics, urgent care....
  22. jadelpn

    why do many MAs and CNAs call themselves nurses?

    jadelpn replied to murseforever's topic in Patient, Colleague Relations

    In many, many universes that are the creation of the MD who runs the place. Doesn't make it any less illegal
  23. jadelpn

    When should you tell your boss about a concern in the workplace

    jadelpn replied to Mojojo25's topic in General Nursing

    Are these in the realm of a CNA on the floor? If so, it was you who was sent to do these things? I would chart what I do (meaning the foley emptying--and remember, sometimes the documentation needs...
  24. jadelpn

    False Abuse

    jadelpn replied to am1313's topic in General Nursing

    Interestingly if the nurse thought this was a valid issue, was the resident sent out to the ER for evaluation? Yes, I am sure that the resident's head was bumped on the headboard, which can be...
  25. jadelpn

    Tired

    jadelpn replied to luvmybabes's topic in General Nursing

    I am so sorry to hear this. VERY frustrating, that's for sure. They are no dummies--you are more than likely not getting hired as a supervisor or out of your current unit because THEN what are they...